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Anxiety disorders include generalised anxiety disorder, social anxiety disorder, post-traumatic stress disorder, panic disorder, obsessive-compulsive disorder and body dysmorphic disorder. Although anxiety disorders vary in their severity, they are associated with long-term disability and can have a lifelong course of relapse and remission. Generalised Anxiety Disorder, GAD, can cause both psychological and physical symptoms. These symptoms vary from person to person, but can include feeling restless, irritable or worried, difficulty concentrating or sleeping, and feeling "on edge". The physical symptoms can include, pins and needles, headache, dizziness, tiredness, palpitations, muscle aches and tension, dry mouth, excessive sweating, shortness of breath, stomach ache, feeling sick, or shaking. Several factors can cause anxiety, these may include over activity in areas of the brain, an imbalance of chemicals serotonin and noradrenaline, a family history of anxiety, a past history of stressful or traumatic experiences, having a painful long-term health condition, such as arthritis, or a history of drug or alcohol misuse.

|Resident’s Issues |Consultation Assessment and Plan |Signature |Date |Review |

|and Objectives | | | |Date |

| |2. Note the past medical history of the anxiety disorder, when it was diagnosed, and any treatment received: | | | |

| |……………………………………………………………………………………………………………………….…………….…………………………………………………………………………………………………………………………………………….……………….……………………… | | | |

| |3. Describe the circumstances physical or psychological which may lead to the resident feeling anxious: | | | |

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| |4. Describe in detail the way in which the resident presents himself, or herself as being anxious: | | | |

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| |5. Highlight the symptoms the resident experiences: | | | |

| || RESTLESS | IRRITABLE | WORRIED | DIFFICULTY CONCENRATING | DIFFICULTY SLEEPING | muscle aches | tension | | | | |

| || FEELING ON EDGE | dizziness | tiredness | palpitations | headache | tension | trembling | stomach ache | | | | |

| || feeling sick | dry mouth | headache | excessive sweating | shortness of breath | pins and needles | | | | |

| || shaking | Or Other: | | | |

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| |6. Specify where possible the agreed plan to comfort, reassure or calm the resident, note any phrases which may help: | | | |

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| |7. Note any issues the resident has with the activities of daily living, due to the anxiety, and the agreed plan to address them: | | | |

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| |8. Note the prescribed medication, dose and frequency for the symptoms experienced by the resident: | | | |

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| |9. If necessary give and record the prescribed PRN (Pro Re Nata) medication as required, following the Care Home's | | | |

| |protocol. Monitor the effects and any side effects of the medication. | | | |

| |10. Liaise with the resident’s General Practitioner and or Psychogeriatrician as appropriate. | | | |

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|Name |Resident/Relative Signature |Date |

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